Individual
AMANDA JOY EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3359
Mailing address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1088
MN
363A00000X
Physician Assistant
Primary
8620
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1088
MN LICENSE
MN
Enumeration date
12/27/2007
Last updated
08/06/2025
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